1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Behavior Analyst
  6. NPI Profile

KELLIE BYNUM BCBA
NPI 1598993099
Behavior Analyst in Phoenix, AZ

Active since June 24, 2009
11221 N 28TH DR BLDG E, PHOENIX, AZ 85029(602) 997-2233 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie Bynum Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE BYNUM BCBA (NPI 1598993099) is an individual behavior analyst provider in Phoenix, Arizona, licensed in Arizona (BEH-000080) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1598993099
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKELLIE BYNUMCredential: BCBA
Location Address11221 N 28TH DR BLDG EPhoenix, AZ 85029-5615
Mailing Address3450 N 3rd StPhoenix, AZ 85012-2331 · (602) 351-6904 · Fax (602) 266-9025
Phone(602) 997-2233
Sole ProprietorNo
Enumeration DateJune 24, 2009
Last NPPES UpdateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
✔ NPI 1598993099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in AZ · BEH-000080
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

11221 N 28TH DR BLDG E, Phoenix, AZ 85029
Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Jackson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHASITY STAR SEZATE
Behavior Analyst
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (480) 349-7117
VICTORIA F THOMAS LPC
Counselor (Professional)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
VANJA DJURDJEVIC
Psychologist
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
MR. BRIAN PAUL COLWELL LPC
Counselor (Mental Health)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
AMANDA RACHEL KERR D.O.
Psychiatry & Neurology (Psychiatry)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
MARVIN JIM
Psychologist
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
JENNIFER LYNN RUTH BEAUPRE NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (505) 660-2997
FRANCES HALL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (026) 997-2233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Bynum's NPI number?

The NPI number for Kellie Bynum is 1598993099. It was assigned to this individual provider in the NPPES registry on June 24, 2009. The provider is also known as Kellie Jackson.

Where is Kellie Bynum located?

Kellie Bynum practices at 11221 N 28th Dr Bldg E, Phoenix, AZ 85029. The listed phone number is (602) 997-2233.

What is Kellie Bynum's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Kellie Bynum accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Kellie Bynum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Bynum was last updated on January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.